Payer Wise Research

High qualified and accredited staffs of Land Marvel provide payer side issues to clients, which directly accelerate the healthcare service provider's cash flow.

• Periodical Customized Insurance reports and MIS, to extract the issues related to Provider Contracts, Low Payment and Insurance errors. It helps our provider to finalize and rework their contract with their insurance, which intern increases the collections.

• We monitor your major payers in a systemized process.

Federal Insurance

• Expert in Medicare and Medicaid insurances Local and National guidelines.

• Periodical updates on comprehensive and mutually exclusive codes – NCCI edits.

• LMRP and medical necessity guidelines on coding, prevents coding errors.

• Specialty wise Medicare and Medicaid billing.  

Commercial and Liability Insurance

• Periodical review on collections of Managed care contracted provider.

• Review on Inappropriate payments and appealing the same if paid less than the insurance contracted amount.

• Intensive knowledge on Pre-certification, out of network benefit, participating, non-participating and managed care programs – HMO, PPO, POS.

• Expertise in managed care program's billing guidelines and reimbursement policy across specialties.

• Expertise in Auto insurance types; Workman's compensations coverage and claim filing methods.